Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.77 / $123.77 / $123.77	Facility		$123.77	$123.77	$123.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $117.37 / $397.77	Professional		$106.70	$117.37	$397.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.53 / $160.08 / $207.85	Facility		$53.53	$160.08	$207.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $106.70	Professional		$106.70	$106.70	$106.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $106.06 / $180.23	Professional		$60.00	$106.06	$180.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $105.63 / $117.37 / $164.34	Professional		$105.63	$117.37	$164.34
United Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $106.70	Professional		$106.70	$106.70	$106.70